2 yr Comp residency vs 1 yr AEGD

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Hedgy

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I have to ask why one would not choose to go for a 2 yr Comp residency vs. a 1 yr AEGD. You basically add 1 more year to your commitment, yet when your tour is up, you should be close, if not eligible for the multi-year retention bonus. Either way, you deploy after residency. One just has more options and is more "deployable" which I think makes it a better option. Any out there think the same, that the 2 year Comp residency would be better?

Now that being said. I have a colleague in a perio residency and they are getting comp residents that can't even do a mandibular block....now that worries me.

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I did a 1 year AEGD residency because I knew I didn't want to be a general dentist for my career and wanted to spend 1 year in all the specialties in order to decide my preference. I chose oral surgery. 2 year residents rarely apply to specialty residencies in the Army, as they are content with being a general dentist. There are tons more 1 year guys who go on to specialize.
 
Other people look at this differently. Some want to get out of the military as soon as possible and don't want to add any more years to their obligation (don't loike the military life, fearful of deployment, etc). Some are tired of school and don't want any more years in a "school" setting (I've seen what two year resident go through in terms of stressing over didactics and the boards). Some don't look too far into the future. I guess what I'm trying to say is that the answer is a "no brainer" but works in both directions...ultimately it depends on the individual.
 
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I did an AEGD in Bethesda where we were semi-trained with Comp Residents. There are advantages and disadvantages to both.

Compsters
I would like to say some of the best dentists I have ever met came out of Army and Navy Comp Programs. After two years of "worst than dental school hell" you come out a super dentist. If you were dropped off in the middle of siberia you are expected and probably can do most endo, exodontia, comlex prosth cases that come your way. Things they barely touched in dental school you will surely learn. You are certainly more "deployable", but that isn't always a benefit. Especially if you want a somewhat stable life as a military dentist. But heck anyone is deployable. But for many a compter's career will be less of a clinician and more administrative. Since you are so well trained you will be running AEGD/GPR programs, trying to outshine the next guy by becoming detailers, career planners, and clinic directors. So up to you, might be a plus for some. I would like to agree with a previous poster who said Compsters don't usually go on to specialize. You are considered a specialized super dentist, in the military anyway and get a huge retention bonus comparable to oral surgeons to show for it.(50k a year for four years). I understand your concern for subpar coresidents...but don't you currently have concerns about subpar co-dental students. Good and bad everywhere. About half the people who go through the program are O4s and above. Trust me they know what they are doing clinically if not didactically since they are rusty. Overall the way to go especially if you decide to do career. But i know a compster who got out after his minimum commitment and is rocking it in private practice.

AEGD.
Not much to say. It is hit or miss depending what service and location. With the Navy i didn't get as much experience with implants, oral surgery, endo etc. as my civilian counterparts. Definitely not close to the same level as a compster. I am as deployable as anyone else and get a much smaller retention bonus(20k a year for 2 years). But I feel like i can go on to specialize more easily if i wished and don't feel as obligated to stay in. You can always do Comp afterwards if you decide to.

Hope that helps a little.
 
I did an AEGD in Bethesda where we were semi-trained with Comp Residents. There are advantages and disadvantages to both.

Compsters
I would like to say some of the best dentists I have ever met came out of Army and Navy Comp Programs. After two years of "worst than dental school hell" you come out a super dentist. If you were dropped off in the middle of siberia you are expected and probably can do most endo, exodontia, comlex prosth cases that come your way. Things they barely touched in dental school you will surely learn. You are certainly more "deployable", but that isn't always a benefit. Especially if you want a somewhat stable life as a military dentist. But heck anyone is deployable. But for many a compter's career will be less of a clinician and more administrative. Since you are so well trained you will be running AEGD/GPR programs, trying to outshine the next guy by becoming detailers, career planners, and clinic directors. So up to you, might be a plus for some. I would like to agree with a previous poster who said Compsters don't usually go on to specialize. You are considered a specialized super dentist, in the military anyway and get a huge retention bonus comparable to oral surgeons to show for it.(50k a year for four years). I understand your concern for subpar coresidents...but don't you currently have concerns about subpar co-dental students. Good and bad everywhere. About half the people who go through the program are O4s and above. Trust me they know what they are doing clinically if not didactically since they are rusty. Overall the way to go especially if you decide to do career. But i know a compster who got out after his minimum commitment and is rocking it in private practice.

AEGD.
Not much to say. It is hit or miss depending what service and location. With the Navy i didn't get as much experience with implants, oral surgery, endo etc. as my civilian counterparts. Definitely not close to the same level as a compster. I am as deployable as anyone else and get a much smaller retention bonus(20k a year for 2 years). But I feel like i can go on to specialize more easily if i wished and don't feel as obligated to stay in. You can always do Comp afterwards if you decide to.

Hope that helps a little.

Wow very insightful. Thank you. I was wondering if you could elaborate on a more day-to-day, week-to-week type basis what both of these residencies are like. Can you compare them to anything else? Are they similar in nature, but the AEGD is just half the time to the comp? How likely is it to get into a comp program straight out of Dental School?
 
OK...I just finished my first year of a 2 year Army program at Bragg...the program is outstanding! There are many differences between the 3 locations, so I cannot make generalizations between the programs...but at Bragg...

Monday afternoons and Fridays are didactic days...lecture, presentations, etc...

The rest of the time you are in clinic..perio/endo/pros/os...etc..

Some of the things that I have been able to do in one year:

37 endo cases
22 perio surgeries, 7 implants..
5 comprehensive ortho patients
about 30 crowns thus far
8 dentures...
tons of exodontia
pedo rotations
oral path rotations
a month in Oral surgery in the hospital...OR/rounds, etc

That is one year...2 days ago did a split ridge technique for 2 implants on an edentulous mandible, right side, and an osteotome sinus augmentation #12/14 and placed 2 implants for a future fdp....this is not the kind of stuff you would be doing in a one year program...

Plus you have solid foundation of WHY you are doing everything you are doing...you have to be able to justify everything...in a one year..you pretty much just learn the "how" of doing things...

Hope that helps a little bit...let me know if you have further questions.
 
OK...I just finished my first year of a 2 year Army program at Bragg...the program is outstanding! There are many differences between the 3 locations, so I cannot make generalizations between the programs...but at Bragg...

Monday afternoons and Fridays are didactic days...lecture, presentations, etc...

The rest of the time you are in clinic..perio/endo/pros/os...etc..

Some of the things that I have been able to do in one year:

37 endo cases
22 perio surgeries, 7 implants..
5 comprehensive ortho patients
about 30 crowns thus far
8 dentures...
tons of exodontia
pedo rotations
oral path rotations
a month in Oral surgery in the hospital...OR/rounds, etc

That is one year...2 days ago did a split ridge technique for 2 implants on an edentulous mandible, right side, and an osteotome sinus augmentation #12/14 and placed 2 implants for a future fdp....this is not the kind of stuff you would be doing in a one year program...

Plus you have solid foundation of WHY you are doing everything you are doing...you have to be able to justify everything...in a one year..you pretty much just learn the "how" of doing things...

Hope that helps a little bit...let me know if you have further questions.

Great info, thank you! I am starting 3rd year of dental school and am in the HPSP for Navy. I'm looking to to extra training, not sure what though.
Here's my goals: I love general, and want to stay general but be able to expand capabilities (implants, endo, but still do restorative). I am not opposed to spending time in the Navy, not sure about being a lifer, but the option isn't out of the question. Lastly I'm in a relationship with a Marine with plans to get married in the future and would like both of us to hopefully stay stationed reasonably close to each other.
So, out of AEGD, Comprehensive res. , ACP (not sure what that is) and GPR, any recommendations? Anybody can answer, thanks
 
OK...I just finished my first year of a 2 year Army program at Bragg...the program is outstanding! There are many differences between the 3 locations, so I cannot make generalizations between the programs...but at Bragg...

Monday afternoons and Fridays are didactic days...lecture, presentations, etc...

The rest of the time you are in clinic..perio/endo/pros/os...etc..

Some of the things that I have been able to do in one year:

37 endo cases
22 perio surgeries, 7 implants..
5 comprehensive ortho patients
about 30 crowns thus far
8 dentures...
tons of exodontia
pedo rotations
oral path rotations
a month in Oral surgery in the hospital...OR/rounds, etc

That is one year...2 days ago did a split ridge technique for 2 implants on an edentulous mandible, right side, and an osteotome sinus augmentation #12/14 and placed 2 implants for a future fdp....this is not the kind of stuff you would be doing in a one year program...

Plus you have solid foundation of WHY you are doing everything you are doing...you have to be able to justify everything...in a one year..you pretty much just learn the "how" of doing things...

Hope that helps a little bit...let me know if you have further questions.


Someone said something about the 2YR being worse than dental school. How has your experience been in terms of relating it to school? Is there a lot of stress? If so, from what? Are there exams? Do instructors 'check you off' during procedures or do you just present pre and post op then get critiques? Do the instructors perform procedures with you? I'm starting the 2YR at Ft Hood in 2011 and would like a better feel for it. Also for implant placement, i was under the impression that only perio and OS could place them, are 63B's placing implants regularly? Is the curriculum rigid or individually tailored to what you want to focus on? I'll admit I don't really care to do any pedo. Thanks.
 
Someone said something about the 2YR being worse than dental school. How has your experience been in terms of relating it to school? Is there a lot of stress? If so, from what? Are there exams? Do instructors 'check you off' during procedures or do you just present pre and post op then get critiques? Do the instructors perform procedures with you? I'm starting the 2YR at Ft Hood in 2011 and would like a better feel for it. Also for implant placement, i was under the impression that only perio and OS could place them, are 63B's placing implants regularly? Is the curriculum rigid or individually tailored to what you want to focus on? I'll admit I don't really care to do any pedo. Thanks.

ok...in terms of it being like dental school...AT FORT BRAGG...I wouldn't say that is true. It IS a lot of work...but you get out of it what you put into it...you could literally do almost nothing and still "pass" but you wouldn't learn anything. If you want to learn a lot, you have to put a lot of time in, but it is not like dental school. There is stress, but not out of control. I have an oral path final this Wed. 25 questions...multiple multiple choice...I will be leaving now to go study the rest of the weekend...
Some mentors have exams, some don't...completely up to them...most of them just get a feel for what you know when you come into clinic and pimp you accordingly...you have mock boards 2 times each year...which really shows if you know it or you don't...so you may as well learn it...the more you study, the easier the program is.

In many of the procedures you have to get your stuff checked as you go...with fillings and such, they check you at first, then let you go..but if you are doing crown lengthening on the lower left..you WANT them there to guide you on your first one...and they will help you through it...it is not a yelling atmosphere..it is more of a "helping" atmosphere so you understand what and why you are doing this procedure.

For implants you are correct..you don't place them on your own...you place them under the supervision of os or perio...If I am in perio, I will be able to do it myself...in os..usually you watch them do it...

The program is kinda rigid in the sense that you have days for pedo, endo, etc...and you really can't get away from that...but you also have "comp care" days..where you can pretty much go to any specialty and do what you want on those days...so if you want more endo...you can go there on those days..

Hope that helps somewhat...I can't comment on Hood's program...as I haven't been there...

Eric
 
The people that i have met that went directly into Comp after dental school did exceptionally well in school. Three I met graduated top of their class, like top 5%, and low to mid 90s on the first boards. They were personally invited by the specialty leader to do comp instead of an AEGD. It has been over four years so the selection process might have changed. Not sure how it works now. Anyway they did well didactically because they were still in the school mode. From what i discussed with some Compsters in Bethesda when i was there, they described it as "more challenging" than d school. I didn't go through it so I don't know for sure.

In terms of an AEGD day to day. It really does just depend on your AEGD director, location, and service. I would describe mine like a fifth year of dental school with some duty thrown in with a mix of hospital dentistry. It was half comp half GPR. Stood overnight duty at the hospital four to five times a month. Sometimes sleepless nights responding to emergencies for the OS dept. and calling in their residents to come take a look at things beyond my training. Sometimes cleaning wounds of admitted OIF and OEF pts. When on duty Rounds with the oral surgeons, weekly grand rounds on fridays (a couple times presented my ppt), with occasional classes with the comp residents once or twice or week. Did other training like C4 and ACLS. Rest of the time doing general dentistry in the comp dept. With two to three multidisciplinary complex patients you see almost the whole year. Couple weeks assigned rotations through the different specialties. Rest of the time you can use to pursue procedures you are interested in most like perio surgeries or endo. For me each procedure/step was checked off still like i was still in school. They eased up a bit towards the end. Like all things it all depends on what you put into it.

I have talked to different people and they all had different experiences. And AEGD Directors change like every two or three years. Luck of the draw i guess. I would try to find and talk to current residents to get a feel for what is going on at each site before choosing the ones you want...not that you always get what you want.

hope that helps.
 
Tuuth, very insightful. I guess I bring this up because there are 2 things that students and maybe the rest seem to be most interested in: 1) Pay and 2) Deployment. I figure in the grand scheme of things, the training in Comp would be much better and thorough than an AEGD. I did an AEGD and don't remember being checked off to do a procedure. I can see documenting them/taking photos...but getting checked off seems a little more like dental school to me.

I am very surprised to see an Army GP doing ridge splits and implants. Maybe this is just in residency, but I would be very doubtful that you'd do much of this outside of residency. The military seems to be very "Specialist" in that Prosth-only does prosth. OS and Perio do the implants and their respective surgeries in their disciplines. GPs....well unless you are at a solo clinic, you're most likely doing operative primarily with some endo/exractions/perio mixed in. I am doubtful much prosth is addressed by GPs in the bigger clinics-but maybe I'm wrong. It's just the picture I have from my time in service.

I never understood the on-call with dentists having to stay overnight or really late. Must be a military thing. I take calls at home and go in when necessary, but I'd say I may see 6 cases after hours or on weekends in a year.

Just from my experience with a great AEGD (Great Lakes 2001-2) and what I know from my time, I think the option of a 2-year comp residency just seems to allow for more choices both from duty stations and from a monetary stand vs. an AEGD. I know several of the Comp Resident Instructors and they are some of the most capable dentists I've met from a didactic view. I never saw them work clinically, so can't comment on that. It also torqued me that they "grandfathered" all the comp dentists from yore into the ABD so they could get the Board Certified Pay. Most were O-6s, but I didn't feel they earned that privilege like the residents did.

I did an AEGD and am perfectly happy with my private practice. I am truly grateful to the specialists I worked with in residency and still use the skills I learned from them daily. I would not hesitate to recommend either residency to a new dentist.
 
Tuuth, very insightful. I guess I bring this up because there are 2 things that students and maybe the rest seem to be most interested in: 1) Pay and 2) Deployment. I figure in the grand scheme of things, the training in Comp would be much better and thorough than an AEGD. I did an AEGD and don't remember being checked off to do a procedure. I can see documenting them/taking photos...but getting checked off seems a little more like dental school to me.

I am very surprised to see an Army GP doing ridge splits and implants. Maybe this is just in residency, but I would be very doubtful that you'd do much of this outside of residency. The military seems to be very "Specialist" in that Prosth-only does prosth. OS and Perio do the implants and their respective surgeries in their disciplines. GPs....well unless you are at a solo clinic, you're most likely doing operative primarily with some endo/exractions/perio mixed in. I am doubtful much prosth is addressed by GPs in the bigger clinics-but maybe I'm wrong. It's just the picture I have from my time in service.

I never understood the on-call with dentists having to stay overnight or really late. Must be a military thing. I take calls at home and go in when necessary, but I'd say I may see 6 cases after hours or on weekends in a year.

Just from my experience with a great AEGD (Great Lakes 2001-2) and what I know from my time, I think the option of a 2-year comp residency just seems to allow for more choices both from duty stations and from a monetary stand vs. an AEGD. I know several of the Comp Resident Instructors and they are some of the most capable dentists I've met from a didactic view. I never saw them work clinically, so can't comment on that. It also torqued me that they "grandfathered" all the comp dentists from yore into the ABD so they could get the Board Certified Pay. Most were O-6s, but I didn't feel they earned that privilege like the residents did.

I did an AEGD and am perfectly happy with my private practice. I am truly grateful to the specialists I worked with in residency and still use the skills I learned from them daily. I would not hesitate to recommend either residency to a new dentist.

Grateful for your insights. I appreciate the feedback to help me understand these programs better. Thanks again.
 
Does anyone know how many years the 2yr comp residency really obligates you for, as far as payback is concerned?
 
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Does anyone know how many years the 2yr comp residency really obligates you for, as far as payback is concerned?
Payback is 1 year for 1 year. How it's added to your current commitment depends on lots of different things, so hard to say exactly.
 
Payback is 1 year for 1 year. How it's added to your current commitment depends on lots of different things, so hard to say exactly.

So you're saying the way they add up your payback changes depending on what your contract says? Do you mean whether you're on the HSCP or the HPSP as compared to already being AD?

I've heard there were specific locations only COMP dentists can go, anyone know where those might be for the Navy?
 
So you're saying the way they add up your payback changes depending on what your contract says? Do you mean whether you're on the HSCP or the HPSP as compared to already being AD?

I've heard there were specific locations only COMP dentists can go, anyone know where those might be for the Navy?
I can't speak to the HSCP program, but HPSP is easy. If you owe any time for your HPSP time in the residency does not count as payback for the HPSP. However, the payback is concurrent with your HPSP. So, if you go to the Comp Dentistry program right out of dental school with 4 years of HPSP commitment, you will spend 2 years in the residency then 4 more years in the service. Your 2 years for the comp program will be paid back with the first 2 years of your HPSP payback.

If you decided not to go to the comp program until you had been in 3 years, you would still have neutral time in the residency and 1 year of your payback would be concurrent with your HPSP commitment and you would serve 1 more year to finish paying off your residency.

So how it's tacked on depends on how much HPSP time you owe.
 
I can't speak to the HSCP program, but HPSP is easy. If you owe any time for your HPSP time in the residency does not count as payback for the HPSP. However, the payback is concurrent with your HPSP. So, if you go to the Comp Dentistry program right out of dental school with 4 years of HPSP commitment, you will spend 2 years in the residency then 4 more years in the service. Your 2 years for the comp program will be paid back with the first 2 years of your HPSP payback.

If you decided not to go to the comp program until you had been in 3 years, you would still have neutral time in the residency and 1 year of your payback would be concurrent with your HPSP commitment and you would serve 1 more year to finish paying off your residency.

So how it's tacked on depends on how much HPSP time you owe.

And if you decide to come into the military and you didn't take an HPSP (direct accession), the payback is consecutive - it would all be added on top of what you already owe with nothing being concurrent payback.
 
Anyone out there do the 2 year COMP in the Navy and like/not like their experience? I've also been looking for info on where the locations are for those who graduate from the COMP program. I heard that you usually are assigned to administration at a 1 year AEGD program...is this true?
 
Anyone out there do the 2 year COMP in the Navy and like/not like their experience? I've also been looking for info on where the locations are for those who graduate from the COMP program. I heard that you usually are assigned to administration at a 1 year AEGD program...is this true?

A friend of mine did one. After completing the comp dent program, he went to a small clinic attached to a medical clinic as the department head. Afterward, he went to an AEGD program where he was the program director. Now, he is the officer in charge at a clinic with the Marines. He seems to enjoy being a comp dentist.
 
Thank you, everyone, for commenting on the Comp residency. It has been very informative reading over all the posts the past few days. Is there a Navy Comp dentist out there who I may ask some questions to? I'm just trying to see how competitive it is, as far as getting into the program.

Thanks,

James
 
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resurrecting this one...if anyone has any new insights to give on AEGD vs. Comp program (specifically navy) I'd be very interested. Im still early in dental school, but thinking I want to stick to general. Thanks in advance.
 
Just a thought from a civilian standpoint...why would you want to do a 2yr-AEGD if you are not trying to make military a career? In other words, why not go for a real specialty if the 2yr-AEGD doesn't mean anything in the civilian world?
 
Does doing a 1yr AEGD incur payback?

If an HPSP did 1yr AEGD and then OMS (4 yrs residency) would they then owe 5 years back or 4 years back after they completed OMS.
 
Does doing a 1yr AEGD incur payback?

If an HPSP did 1yr AEGD and then OMS (4 yrs residency) would they then owe 5 years back or 4 years back after they completed OMS.

1 year AEGD is neutral, no payback incurred, so you would still owe 4 year ADSO upon completion of the 1yr residency (or 3 if you only did 3 year scholarship).

OMS would be paid back concurrently. Logistically I don't think it's possible unless you do ODS during dental school, but technically if the stars aligned I guess you could do: 1 yr AEGD, 4 year OMFS, and would then owe 4 years ADSO. During that time you would be paying your 4 years from original scholarship concurrently with your 4 years incurred for OMFS residency. Someone correct me if this is wrong.
 
Can you explain the bold? Is it likely to graduate from DS, complete a 1 yr AEGD and then immediatly start OMS after the AEGD? If OMS is the goal would it be easier to just work for a year prior to applying to OMS instead of doing the AEGD?

1 year AEGD is neutral, no payback incurred, so you would still owe 4 year ADSO upon completion of the 1yr residency (or 3 if you only did 3 year scholarship).

OMS would be paid back concurrently. Logistically I don't think it's possible unless you do ODS during dental school, but technically if the stars aligned I guess you could do: 1 yr AEGD, 4 year OMFS, and would then owe 4 years ADSO. During that time you would be paying your 4 years from original scholarship concurrently with your 4 years incurred for OMFS residency. Someone correct me if this is wrong.
 
Does doing a 1yr AEGD incur payback?

If an HPSP did 1yr AEGD and then OMS (4 yrs residency) would they then owe 5 years back or 4 years back after they completed OMS.
If you do a 1 yr AEGD and you had a 4 yr HPSP you will do a total of 5 yrs.

If you were accepted into OMFS while a D4 (so that you would begin 18 months after graduation - for the Army) and you did a 1 yr AEGD it would look like this:

1 yr AEGD + 4 yr OMFS + 4 yr OMFS payback (and concurrent 4 yr HPSP payback) = 9 yrs total. If you start OMFS any later in your career it would add that much additional time onto your total obligation.
 
This is kind of the blind leading the blind, since I'm a 1st year student still. But what I meant by 'stars aligning' is that from what I read, the residencies start sometime in the summer. So IF you are accepted into the residency of your choice coming out of school, and IF you have time to do ODS before the residency starts, then yes, the timeline I described is technically possible.

Back to the thread: I'd be really interested in hearing more info/experiences/thoughts on a 1 year AEGD vs Comp program if anyone's willing. General thoughts, specific exposure to procedures during and after each program, a 'typical day' in each, how doing one vs other impacts deployment, or location, or administrative responsibilities down the road. Any light that could be shed would be appreciated.

Specific interests of mine:
-Is there a substantial difference in the types of procedures done between these 3 groups (no AEGD, 1 yr AEGD, 2 yr Comp)? I am looking at my time in the military as an opportunity to: #1 serve and do my part, and #2 further my skill set as a clinician if/when I get out.
-What is the typical number of deployments a non-aegd person will do, vs aegd dentist, vs comp dentist? I'm not looking to dodge deployment (wouldn't be asking about comp if I was!), but I will hopefully have a few young kiddos early in my dental corps career. I think a deployment or two will be a great 'life experience', but at the same time will be hard on a young family. I don't want to spend 15-20 years deploying every few years with all the workups that go along with it, and end up missing everything at home. For those that stay in, around what year in an average career do you start taking on more administrative positions such as clinic director, etc?
-If I were to decide I want to get out before 20 years, how would my time be best spent to prepare me as a civilian clinician (ie-worth it to spend the extra year for AEGD; worth it to spend the extra 2 years doing Comp?)

Thanks in advance.
 
This is kind of the blind leading the blind, since I'm a 1st year student still. But what I meant by 'stars aligning' is that from what I read, the residencies start sometime in the summer. So IF you are accepted into the residency of your choice coming out of school, and IF you have time to do ODS before the residency starts, then yes, the timeline I described is technically possible.

Back to the thread: I'd be really interested in hearing more info/experiences/thoughts on a 1 year AEGD vs Comp program if anyone's willing. General thoughts, specific exposure to procedures during and after each program, a 'typical day' in each, how doing one vs other impacts deployment, or location, or administrative responsibilities down the road. Any light that could be shed would be appreciated.

Specific interests of mine:
-Is there a substantial difference in the types of procedures done between these 3 groups (no AEGD, 1 yr AEGD, 2 yr Comp)? I am looking at my time in the military as an opportunity to: #1 serve and do my part, and #2 further my skill set as a clinician if/when I get out.
-What is the typical number of deployments a non-aegd person will do, vs aegd dentist, vs comp dentist? I'm not looking to dodge deployment (wouldn't be asking about comp if I was!), but I will hopefully have a few young kiddos early in my dental corps career. I think a deployment or two will be a great 'life experience', but at the same time will be hard on a young family. I don't want to spend 15-20 years deploying every few years with all the workups that go along with it, and end up missing everything at home. For those that stay in, around what year in an average career do you start taking on more administrative positions such as clinic director, etc?
-If I were to decide I want to get out before 20 years, how would my time be best spent to prepare me as a civilian clinician (ie-worth it to spend the extra year for AEGD; worth it to spend the extra 2 years doing Comp?)

Thanks in advance.
Which service are you asking for?
 
This is kind of the blind leading the blind, since I'm a 1st year student still. But what I meant by 'stars aligning' is that from what I read, the residencies start sometime in the summer. So IF you are accepted into the residency of your choice coming out of school, and IF you have time to do ODS before the residency starts, then yes, the timeline I described is technically possible.

Back to the thread: I'd be really interested in hearing more info/experiences/thoughts on a 1 year AEGD vs Comp program if anyone's willing. General thoughts, specific exposure to procedures during and after each program, a 'typical day' in each, how doing one vs other impacts deployment, or location, or administrative responsibilities down the road. Any light that could be shed would be appreciated.

Specific interests of mine:
-Is there a substantial difference in the types of procedures done between these 3 groups (no AEGD, 1 yr AEGD, 2 yr Comp)? I am looking at my time in the military as an opportunity to: #1 serve and do my part, and #2 further my skill set as a clinician if/when I get out.

From what I've seen, not really, at least on the big shore clinic side. The comp dentist gets more training and has more supplemental privileges, but the bulk of the work is the same especially in a clinic that has multiple specialists - they'd rather have the periodontist doing the perio surgery and the endodontist doing the retreat endos than the comp dentist. On a carrier or at remote/smaller clinics the comp dentist will of course be doing more of the specialized stuff.

-What is the typical number of deployments a non-aegd person will do, vs aegd dentist, vs comp dentist? I'm not looking to dodge deployment (wouldn't be asking about comp if I was!), but I will hopefully have a few young kiddos early in my dental corps career. I think a deployment or two will be a great 'life experience', but at the same time will be hard on a young family. I don't want to spend 15-20 years deploying every few years with all the workups that go along with it, and end up missing everything at home. For those that stay in, around what year in an average career do you start taking on more administrative positions such as clinic director, etc?

You may have picked the wrong line of work. In a 15-20 year career I would not expect to spend 13-18 of those years at home. If you want to do a career, you need to be willing to take those operational tours, because they don't sign you up and pay you to just sit in an office all day somewhere in San Diego or Virginia - they have plenty of civilian contract dentists to do that job. Furthermore, if you don't take the tough jobs, that's not going to look great when you're trying to go down that admin/command track that you're asking about. Expect to be operational or in a deployable billet after your first year or after a residency, and then to rotate between shore duty and operational tours from that point on as long as you're a JO. Military life is hard on families - that's no secret and you will be better off facing that head on rather than trying to avoid it.

-If I were to decide I want to get out before 20 years, how would my time be best spent to prepare me as a civilian clinician (ie-worth it to spend the extra year for AEGD; worth it to spend the extra 2 years doing Comp?)

I can't answer that, but a lot of it is what you put into it.

Thanks in advance.

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Just a thought from a civilian standpoint...why would you want to do a 2yr-AEGD if you are not trying to make military a career? In other words, why not go for a real specialty if the 2yr-AEGD doesn't mean anything in the civilian world?

That seems like a naive statement to say that the 2-year AEGD means nothing in the civilian world. While it may not grant a fancy specialist title that translates into the civilian world, there are distinct advantages that come with being more comprehensively trained, e.g. being able to treat more difficult cases and not having to refer them out, leading to greater earning potential and productivity in private practice. One could argue that you could receive such training after leaving the military not having done an AEGD, but I would bet the overall cost would be quite expensive.
 
That seems like a naive statement to say that the 2-year AEGD means nothing in the civilian world. While it may not grant a fancy specialist title that translates into the civilian world, there are distinct advantages that come with being more comprehensively trained, e.g. being able to treat more difficult cases and not having to refer them out, leading to greater earning potential and productivity in private practice. One could argue that you could receive such training after leaving the military not having done an AEGD, but I would bet the overall cost would be quite expensive.

What's your experience working with 2year AEGD dentists and what advanced clinical skills have you seen them using on a day to day basis?

Obviously its different at every command, but I work with some comp dentists and all they do is CEREC and restorative. The scope or practice is still narrow because there are specialists. If there are not specialists, it often gets referred to private practice specialists, or a larger military clinic because its easier to maintain "readiness" that way.

While I'm sure it would be interesting from a didactic standpoint, clinically I'm not seeing comp dentists do anything outside what most GPs do every day in private practice. I think the value is in how it advances a military career, not how it prepares someone for private practice.
 
What's your experience working with 2year AEGD dentists and what advanced clinical skills have you seen them using on a day to day basis?

Obviously its different at every command, but I work with some comp dentists and all they do is CEREC and restorative. The scope or practice is still narrow because there are specialists. If there are not specialists, it often gets referred to private practice specialists, or a larger military clinic because its easier to maintain "readiness" that way.

While I'm sure it would be interesting from a didactic standpoint, clinically I'm not seeing comp dentists do anything outside what most GPs do every day in private practice. I think the value is in how it advances a military career, not how it prepares someone for private practice.

I wonder how typical that is that a 63B gets slated to do the work of a 63A. Obviously there is overlap in their skill sets, but there has to be some justification for the 2-year program other than a resume boost. I would like to think the majority of 63Bs are in positions to employ their skill sets, otherwise why wouldn't the Army decrease the program's slots and produce fewer of them if most are filling 63A-type duties? Also, from all my readings here and elsewhere, I was under the impression that 63Bs had some say in who their patients were, that if a specialist-type case came in that they were competent to treat, they could do so. Am I wrong? My only experience is from reading everything I can off these boards for the past few years, and reading different blogs of comp dentists (krmower for one) and otherwise.
 
I wonder how typical that is that a 63B gets slated to do the work of a 63A. Obviously there is overlap in their skill sets, but there has to be some justification for the 2-year program other than a resume boost. I would like to think the majority of 63Bs are in positions to employ their skill sets, otherwise why wouldn't the Army decrease the program's slots and produce fewer of them if most are filling 63A-type duties? Also, from all my readings here and elsewhere, I was under the impression that 63Bs had some say in who their patients were, that if a specialist-type case came in that they were competent to treat, they could do so. Am I wrong? My only experience is from reading everything I can off these boards for the past few years, and reading different blogs of comp dentists (krmower for one) and otherwise.
My experience over 11 yrs as well as that of most of my friends is that we have been able to run our own mini private practices. I have enjoyed my scope of what I have been able to do as a 2 yr AEGD.
 
Are 2yr comp programs ADA approved? Do you get a certificate from that program that is recognized by civilian agencies as if you would from an 1yr AEGD program?
 
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Yes. Just like any other 2 yr AEGD/GPR program that you find on the ADA website.

Here is a question that I've been wondering for a while...If you're on a 4year HPSP and go directly into the 2 year comp residency after school....would you expect to be promoted before your ADSO is fulfilled? I mean, you would have been in for 6 years by the end of your ADSO, isn't promotion usually every 4-6 years?
 
Here is a question that I've been wondering for a while...If you're on a 4year HPSP and go directly into the 2 year comp residency after school....would you expect to be promoted before your ADSO is fulfilled? I mean, you would have been in for 6 years by the end of your ADSO, isn't promotion usually every 4-6 years?
In the Army promotion is at 6 yrs.
 
So...do you get an MS for the 2yr AEGD in the Army too?
 
The MS is fine for the service. It will help particularly if (most do I'm sure) you get board certified as you get more pay. The MS, IMO, doesn't mean much outside of the military in the case of the general dentist.
 
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